Anesthetic management of a parturient with myotonia dystrophica: a case report.
We report the case of a 22-year-old parturient with myotonia dystrophica. She underwent two separate intraabdominal surgical procedures in one day, both under lumbar epidural anaesthesia. Management was directed toward prevention of shivering, a known trigger of myotonic crises. Measures used included warm ambient atmosphere, warmed IV fluids, warming blankets and administration of epidural sufentanil, an opioid recently ascribed as an inhibitor of shivering in parturients.
Camann
W R
WR
Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
Johnson
M D
MD
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D001064:Appendicitis / Q000601:surgery; D002585:Cesarean Section; D005260:Female; D006801:Humans; D009223:Myotonic Dystrophy / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D012768:Shivering